ADHD Prescribing Nurse

Job description

Job responsibilities

Clinical

To lead the provision and delivery of the ADHD clinics provided by Lewisham CAMHS, and be a highly specialist practitioner within the assessment, treatment, and pharmacological management of CYP with ADHD and co-morbid mental health and/or neurodiverse difficulties, assuming responsibility for own caseload.

To work as an independent and autonomous professional within professional guidelines and the policies and procedures of the service, taking full responsibility for own work.

To coordinate ADHD medication review and titration clinics in conjunction with the medical staff and other non-medical prescribers.

To work as a non-medical prescriber (working in line with the Trust Medication Prescribing Policy), undertaking ADHD medication initiations and reviews

In collaboration with the client/carer to update care and treatment plans.

Monitoring and assessing patients physical health needs within their sphere of competence and provide interventions for these needs.

Offer support to parents/carers and clients seeking help between clinic appointments or when in crisis with support from team.

Liaison with schools in relation to children and adolescents progress at school and response to medication

To Facilitate ADHD psychoeducation workshops for parents/carers and young people.

To support the development of a Nurse-led ADHD medication clinic

To provide CAMHS assessments, using self-report measures, as appropriate, structured observations, clinical interviews, and to interpret and integrate this highly complex data to identify and diagnose the cause of emotional and behavioural problems in C&YP.

To assess and monitor risk and draw up appropriate risk management plans in conjunction with the C&YP, parents/carers and other services as appropriate.

To formulate mental healthcare and crisis treatment plans that are specific to each C&YP and family, based upon an analysis of complex factors concerning historical and developmental processes contributing to the presentation. To assess safeguarding issues for each case, consulting with other professionals and referring concerns to the appropriate safeguarding team as required.

To deliver evidence-based treatments, monitoring outcome and modifying and adapting interventions drawing on a range of theoretical options.

To communicate skilfully, sensitively highly complex, sensitive and potentially distressing information with CYP, parents, carers and colleagues taking account of sensory and cultural barriers to communication.

To maintain the highest standards of clinical record keeping and report writing, according to professional and Trust guidelines, including electronic data entry and recording.

To ensure that all services provided are acceptable and accessible to the diverse communities which make up the catchment area of the service.

To act as named worker/care co-ordinator for a range of cases including high risk and extremely complex, ensuring the provision of a care package appropriate for the client needs, coordinating the work of others involved, and to monitor progress in the course of multidisciplinary interventions.

Supervision, Teaching and Training

To receive regular clinical and management supervision from a clinician according to Trust guidelines. This will include fortnightly moving to monthly ADHD prescribing supervision with a consultant psychiatrist.

To provide clinical supervision as well as managerial supervision to qualified nursing staff and students for all aspects of their work where appropriate.

To provide placements to student as required and where appropriate.

To provide advice, consultation, training and supervision to staff and parents/carers within CAMHS and other agencies

supporting ADHD multidisciplinary complex clinic.

Management, Recruitment, Policy, and Service Development

To provide Leadership and management support to the ADHD team to ensure access and flow are prioritised while maintaining own caseload.

To facilitate ADHD pathway development, working closely with the senior leadership team and key staff to support further development of the ADHD pathways and ensuring better access and reduce waiting times.

To promote clinical excellence by complying with nationally agreed, Trust and statutory policies and clinical guidance, while maintaining own clinical competencies in this role.

To identify any aspects of the service which need to be improved and to advise service and professional managers on appropriate changes.

To assist in the short-listing and interviewing of multidisciplinary staff as required.

To participate in clinical governance initiatives as agreed by the Trust and clinical governance committee.

To deputise for senior managers when required and to represent the team at borough and SLAM level when needed.

To undertake Serious Incident investigations as required by the Directorate.

Person Specification

Qualifications & Registration

Essential

• oFirst level nursing qualification (registration RMN or RSCN or HV) / with related CAMHS experience
• oNon-medical prescriber with appropriate NMC registration
• oAll applications will require professional registration with the Nursing Midwifery Council

Desirable

• oMSc level qualification or equivalent with evidence of a comprehensive portfolio of post-registration professional development in child and adolescent mental health

Experience

Essential

• oExperience working as an independent non-medical prescriber with a CAMHS service and ability to demonstrate continuing professional development in this area.
• oExperience of clinical leadership and providing clinical support for practitioners across disciplines including recruitment, supervision, and appraisal
• oExperience of CAMHS assessment and ADHD assessments
• oExperience of consultation to, and clinical supervision of, other staff.

Desirable

• oSignificant experience working as an independent non-medical prescriber with a CAMHS service and ability to demonstrate continuing professional development in this area.
• oExperience of use QI methodology

Knowledge & Skills

Essential

• oHighly specialist knowledge of childhood disorders including emotional and behavioural disorders, relationship difficulties and attachment disorders and theories of child development.
• oKnowledge of legislation and national policy in relation to Looked After Children and mental health issues, including the Children Act, safeguarding children, and the Mental Health Act.
• oAwareness of racial and diversity issues and their impact on service access, through attendance of relevant training.
• oHighly developed verbal and written communication skills including communicating complex, highly technical and sensitive information to children, young people, families, and colleagues.
• oAbility to work independently as an autonomous practitioner with appropriate level of clinical and managerial supervision. oAbility to teach and train others, using a
• oAbility to work effectively within a multi-disciplinary team, contributing to effective team functioning and holding team roles.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

South London and Maudsley NHS Foundation Trust

Address

Kaleidoscope

Rushy Green

Catford

SE6 4JD

Employer's website

https://www.slam.nhs.uk/ (Opens in a new tab)